Individual provider Active NPI

Donald G Phillips, D.O.

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1619923364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L7847 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 927-1500
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L7847 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

929 Sandy LN
Weatherford, TX 76088-0525
Phone (940) 682-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040612000571 TX Practitioner - Emergency Medicine 7911980578 Reassigns benefits to 3 organizations
I20221028002076 OK Practitioner - Emergency Medicine 7911980578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as group
Quality
90.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7830OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Aug 19, 2022 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Aug 20, 2019 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Oct 19, 2022 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince May 19, 2017 Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
Chandor Emergency Physicians Emergency Medicine Past Accepting new patients
Emergis ER Coit, LLC Past Accepting new patients
Saint Francis Hospital South LLC Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619923364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SANDY LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760880525",
            "telephone_number": "940-682-2274",
            "fax_number": "940-682-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DONALD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.